Nathalie Jovic
Medical Billing Analyst, Accounts Receivables
Jacksonville, FL 32211
********@*****.***
Professional Summary
Self- starter, work skillfully in stress related environment; flexible and adaptable to change, quick learner, proactive, team player, and acquire problem-solving skills. I am proficient in the following systems, but not limited to CorCis, MSP (Rumba), Pega, Lenderlive, Early Resolution, Agent Desktop, LPS (Fidelity, Cisco, ABS, Passport and Meditech.
Authorized to work in the US for any employer
Work Experience
Business Owner and Manager
Sheik Subs and Sandwiches-Jacksonville, FL
December 2019 to December 2024
• Performed interviews, hiring and training for 3 locations.
• Drove marketing strategies that increased sales by 30%.
• Streamlined weekly payroll processes, and vendor pay outs, reducing errors by 15% and ensuring timely payouts
• Successfully led a team of 10 members, improving operational efficiency by 20%.
• Processed bi-weekly truck orders.
• Handled all audits and inventory control.
• Appointed as person responsible for dealing with all quarterly health inspections.
• Responsible for handling and responding to all google reviews.
• On-call everyday to de-escalate and address any customer in-house complaints.
• Organized catering services for school, office, and church orders. Billing/AR Specialist
Ingenios Health-Jacksonville, FL
October 2016 to December 2019
• Maintained outstanding claims report by tracking billings; monitoring payments; compiling information.
• Ability to use company system and basic tools to bill clients for services provided.
• Prepared and generated billing via paper invoices, electronic invoices and through standard HIPAA- compliant electronic claim submissions (837P/5010) using internal billing application to manage billing processes.
• Submitted initial service claims and follow up with payer on unpaid or rejected claims.
• Weekly review of payer accounts for unpaid/ rejected claims and determine status and required actions.
• Worked denied and unpaid claims by resubmissions, monitoring payments; following up with payer.
• Reporting of import error issues to Quality Assurance department for further research to correct service record and allow system to properly generate claims.
• Reconciliation of billing results with corporate office monthly.
• Answered inquires on account status and charges for reconciliation purposes.
• Enhanced billing processes by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Successfully worked operations by following policies and procedures; reporting compliance issues.
• Special projects as required.
Medical Billing Analyst, Accounts Receivables
Adreima-Jacksonville, FL
April 2016 to October 2016
• Verified eligibility utilizing payer web sites, client eligibility systems or via phone with the insurance carrier.
• Maintained billing files, medical reports, EOB's and demographics, and following up on workers comp claims.
• Obtained authorization information as needed to bill claim.
• Monitored claims for missing information, authorization and control numbers.
• Researched EOBs for payments or adjustments to resolve claims that are unpaid or denied.
• Contacted payers via phone or written correspondence to secure payment of claims.
• Submitted accounts to internal approver for submission to client.
• Accessed client systems for payment, patient, claim and data info.
• Processed overpayment transactions in accordance with client specific procedures.
• Followed guidelines for prioritization, timely filing deadlines, hospital and database documentation.
• Secured needed medical documentation required or requested by third party insurance carriers.
• Maintained and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedures.
• Monitored payments for accounts and perform any other related duties as required. Billing and Verification Specialist
State Farm Mutual Insurance Company-Jacksonville, FL June 2014 to April 2016
• Responsible for processing and initiating the billing for all State Farm payment plan accounts for Auto, Health, Life, Homeowners and Commercial insurance in a timely manner.
• Set up new business and handling various account maintenance tasks.
• Answered customer service related questions, billing inquiries and customer complaints from agents and policy-holders.
• Analyzed and trouble-shoot bills that are detained in various queues.
• Placed customers on payment plans and assisting with payment arrangements.
• Involved with working with various departments daily to verify payments, coverage for claims processing and generating detailed policy breakdowns. Customer Assistant Specialist Senior Representative Chase Mortgage Home Finance-Jacksonville, FL
March 2010 to March 2014
• Used detailed knowledge of Treasury Department guidelines to review applications and financial documents for modification processing.
• Communicated with customers in a heavy traffic call center environment via inbound/outbound calls regarding the application process, as well as outlining documents needed, decisions made and alternate workout plans available.
• Efficiently managed 125+ active applications/files with no compliance violations.
• Exceeded monthly production, file quality and phone quality goals while maintaining position as one of the department's top performers.
• Subject matter expert for Imminent Default Asset and GNMA/VA/FHA/Farm Loans.
• Assisted in the training and development of peers via side-by-side coaching of process changes, file auditing, and quality review.
• Provided preliminary determination of possible workout after completing income calculation tools and provided recommendations to Senior Underwriter.
• Member of the Reward and Recognition Committee and the appointed coordinator for the teams monthly activities.
Home Retention Loan Consultant II Team lead
American Home Mortgage-Jacksonville, FL
August 2008 to February 2010
• Initiated contact and provided assistance to mortgage loan customers who are in default using negotiations and pursuing appropriate loss mitigation options to maximize customer satisfaction and investor return.
• Counseled and guided the customer to reinstate their mortgage or complete workout alternatives based on circumstances while complying with all the investor, insurer and federal guidelines.
• Analyzed customer's situations and collateral risk to present alternative solutions including special forbearance plans, repayment options, modifications, pre-foreclosure/Short Sale and Deed in Lieu.
• Pursue resolutions of referrals of non-delinquent customers who request alternatives to allow ownership retention.
• Followed up to ensure that all required documentation has been received and ensure timely and accurate responses and resolutions during the loss mitigation process.
• Trained all new hire associates with the departmental processes, procedures in addition to grading and providing weekly evaluations.
Compliance Auditor and Investigator
Nuvell /Semperian/GMAC
November 2006 to August 2008
• Previous dialer collections representative before being promoted to High Risk.
• Investigated high risk factors on collections accounts 30 to 120 days past.
• Made risk assessments for repossessions.
• Managed multiple data basis such as Fast Data, Work number, CBR and Phone Plus to ensure accurate and timely data retrieval.
• Responsibilities included processing maturity adjustments, payoffs and setting payment arrangements, making preparations for repossessions, processed extensions, set up forbearance agreements, skip tracing and managed file updates based on credit reports. Brokerage Payables Clerk, Accounts Receivables
Landstar Transportation Carrier Services
July 2004 to November 2006
• Processed all broker carrier payroll.
• Verified invoice amounts, and carrier identification.
• Responded to all mail and phone inquiries regarding broker settlements.
• Researched and resolved broker discrepancies.
• Processed adjustments to freight bills regarding pay and billing amounts.
• Processed rate corrections to AR/ and Rates.
• Processed contact data processing reports.
Fraud Analyst
Citibank
October 2000 to May 2004
• Handled all inbound calls for authorization and code 10, with heavy data entry
• Verified account information with other banks and merchants
• Reviewed accounts for possible fraud applications or takeover indicators
• Made outbound calls to cardholders to review activity and perform account maintenance and any other customer service issues
• Processed lost, stolen and never received closure reports
• Involved in the (Employee Activities Committee) for improving work environment, organizing fund raisers & other recreational functions
Education
Florida Community College - Jacksonville, FL
High School Completion and General Education
General Education
Terry Parker High School - Jacksonville, FL